Ziogou Afroditi, Giannakodimos Alexios, Giannakodimos Ilias, Tsantes Andreas G, Ioannou Petros
Department of Medical Oncology, Metaxa Cancer Hospital of Piraeus, 18537 Piraeus, Greece.
Department of Urology, Attikon University General Hospital of Athens, 12462 Athens, Greece.
J Clin Med. 2024 Nov 16;13(22):6905. doi: 10.3390/jcm13226905.
species are Gram-negative, aerobic, rod-shaped bacteria that belong to the Burkholderiaceae family and the Betaproteobacteria class. Despite their rare occurrence in the general population, they have been increasingly observed as the causes of infection in immunocompromised individuals or patients with severe comorbidities. The present review seeks to examine all documented cases of spp. infections in humans, focusing on data related to epidemiology, microbiology, antimicrobial susceptibility, treatment options, and mortality rates. A systematic review was conducted through a literature search of the PubMed/MedLine and Scopus databases. This review is subjected to certain limitations regarding the data accuracy or pathogen identification molecular techniques applied in the studies. In total, 29 studies provided information on 43 patients with spp. infections. The mean age of the patients was 42 years, and 58% were male. Cystic fibrosis was these patients' most prevalent risk factor (39.5%). The most frequently reported types of infection were lower respiratory tract infections (74.41%) and bacteremia (30.23%), followed by infective endocarditis, pancreatitis, upper respiratory tract infection, and osteomyelitis (4.65%). was the most regularly isolated species (37.2%), while antimicrobial resistance was lower for carbapenems, especially for imipenem (17.14%). The most commonly administered antibiotics included carbapenems (82%), cephalosporins, and trimethoprim/sulfamethoxazole (35.89%). The infection outcome primarily depended on the type of infection; mortality rates were high (30.23%) and particularly elevated for bloodstream infections. The protocol for this review was registered in Prospero (ID: CRD42024579385). Due to 's unique antimicrobial resistance pattern and capacity to induce severe infection, clinicians should include it when making a differential diagnosis, especially in patients with severe comorbidities and immunodeficiency.
该菌属为革兰氏阴性、需氧、杆状细菌,属于伯克霍尔德菌科和β-变形菌纲。尽管它们在普通人群中很少见,但在免疫功能低下的个体或患有严重合并症的患者中,越来越多地被观察到是感染的原因。本综述旨在研究所有已记录的人类感染病例,重点关注与流行病学、微生物学、抗菌药物敏感性、治疗选择和死亡率相关的数据。通过对PubMed/MedLine和Scopus数据库进行文献检索,进行了一项系统综述。本综述在研究中应用的数据准确性或病原体鉴定分子技术方面存在一定局限性。总共29项研究提供了43例感染患者的信息。患者的平均年龄为42岁,58%为男性。囊性纤维化是这些患者最常见的危险因素(39.5%)。最常报告的感染类型是下呼吸道感染(74.41%)和菌血症(30.23%),其次是感染性心内膜炎、胰腺炎、上呼吸道感染和骨髓炎(4.65%)。是最常分离出的菌种(37.2%),而碳青霉烯类药物的耐药性较低,尤其是亚胺培南(17.14%)。最常用的抗生素包括碳青霉烯类药物(82%)、头孢菌素和甲氧苄啶/磺胺甲恶唑(35.89%)。感染结果主要取决于感染类型;死亡率很高(30.23%),血液感染的死亡率尤其高。本综述的方案已在国际前瞻性系统评价注册库(ID:CRD42024579385)中注册。由于其独特的抗菌耐药模式和引发严重感染的能力,临床医生在进行鉴别诊断时应考虑到它,尤其是在患有严重合并症和免疫缺陷的患者中。